The return of weighing in pregnancy: A discussion of evidence and practice |
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| Institution: | 1. University of Newcastle, Faculty of Health and Medicine, School of Nursing and Midwifery, University Drive, Callaghan, NSW, 2308, Australia;2. University of Newcastle, Faculty of Health and Medicine, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia;3. Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia;4. University of Newcastle, Priority Research Centre for Health Behaviour, Australia;5. Hunter New England Health Nursing, Midwifery Research Centre, Australia;6. University of Canberra, ACT Government Health Directorate, Australia;7. University of Newcastle, Priority Research Centre for Brain and Mental Health, Australia;1. School of Nursing, Queen’s University, Kingston, ON, Canada;2. Community Midwives of Kingston, Kingston, ON, Canada;3. Family Midwifery Care, Guelph, ON, Canada;4. Department of Family Medicine, Guelph, ON, Canada;5. Department of Psychology, University of New Brunswick, Fredericton, NB, Canada;6. Department of Psychology, Queen’s University, Kingston, ON, Canada;1. Social Determinants of Health Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. Edith Cowan University, Perth, Western Australia, Australia;2. Charles Darwin University, Darwin, Northern Territory, Australia;3. King Edward Memorial Hospital, Perth, Western Australia, Australia;1. Griffith University, School of Applied Psychology, Parklands Drive, Southport, 4215, Australia;2. The University of Queensland, Child Health Research Centre, 62 Graham Street, South Brisbane, Queensland, 4101, Australia |
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| Abstract: | BackgroundInadequate or excessive gestational weight gain is associated with both short and long-term adverse maternal and infant health outcomes. The practice of routine maternal weight monitoring has been suggested as an effective health promotion intervention, both as a screening tool for adverse maternal and infant outcomes and as a weight management strategy for addressing gestational weight gain.DiscussionThe effectiveness of routine maternal weighing as part of maternity care has been debated for more than 30 years. The National Health and Medical Research Council of Australia have recently revised their pregnancy care clinical practice guidelines recommending maternal weight monitoring (clinician and/or self-weighing) be reintroduced into clinical practice. This paper presents a timely discussion of the topic that will contribute new insights to the debate.ConclusionWeight gain in pregnancy is complex. Evaluation of the translation, implementation, acceptability and uptake of the newly revised guidelines is warranted, given that evidence on the practice remains inconclusive. Future research exploring social ecological interventions to assist pregnant women achieve optimal gestational weight gains are suggested to expand the evidence base. |
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| Keywords: | Pregnant women Pregnancy Weighing Gestational weight gain |
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